Abstract:
:In an expanded newborn screening program for inborn errors of metabolism by LC-MS/MS in Tuscany, six newborns out of 169,000 showed decreased blood citrulline levels. In one of them, molecular analysis of the OTC gene identified the known p.Trp265Leu mutation, which is correlated with late-onset ornithine transcarbamylase deficiency (OTCD). Hypocitrullinemia is not a reliable marker for OTCD newborn screening, especially for late-onset forms that may exhibit normal citrulline levels. However, when hypocitrullinemia is detected in a newborn in whom intestinal dysfunction and prematurity have been excluded, OTCD should be investigated first because of the OTCD incidence (1:14,000) and the small size of the OTC gene coding sequence.
journal_name
J Pharm Biomed Analjournal_title
Journal of pharmaceutical and biomedical analysisauthors
Cavicchi C,Malvagia S,la Marca G,Gasperini S,Donati MA,Zammarchi E,Guerrini R,Morrone A,Pasquini Edoi
10.1016/j.jpba.2009.03.001subject
Has Abstractpub_date
2009-07-12 00:00:00pages
1292-5issue
5eissn
0731-7085issn
1873-264Xpii
S0731-7085(09)00163-0journal_volume
49pub_type
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